﻿<?xml version="1.0" encoding="utf-8"?>
<!--186 Insurance Underwriting Requirements Reporting-->
<TransactionSpecification TransactionSetIdentifierCode="186" xmlns="http://tempuri.org/X12ParserSpecification.xsd">
  <Segment SegmentId="BGN" Usage="Required" Repeat="1" />
  <Segment SegmentId="CUR" Repeat="1" />
  <Segment SegmentId="LTR" Repeat="99" />
  <Loop LoopId="1000" LoopRepeat="2">
    <Name>Individual or Organizational Name</Name>
    <StartingSegment SegmentId="NM1" />
    <Segment SegmentId="N3" Repeat="3" />
    <Segment SegmentId="N4" Repeat="1" />
    <Segment SegmentId="REF" Repeat="9" />
    <Segment SegmentId="PER" Repeat="3" />
  </Loop>
  <Loop LoopId="2000">
    <Name>Account Identification</Name>
    <StartingSegment SegmentId="ACT" />
    <Loop LoopId="2050">
      <Name>Assigned Number</Name>
      <StartingSegment SegmentId="LX" />
      <Loop LoopId="2075">
        <Name>Individual or Organizational Name</Name>
        <StartingSegment SegmentId="NM1" />
        <Segment SegmentId="REF" />
        <Segment SegmentId="N3" Repeat="1" />
        <Segment SegmentId="N4" Repeat="1" />
        <Segment SegmentId="DMG" Repeat="1" />
        <Segment SegmentId="DTP" Repeat="5" />
        <Segment SegmentId="AM1" Repeat="9" />
        <Segment SegmentId="PWK" Repeat="1" />
        <Segment SegmentId="MSG" />
        <Segment SegmentId="DMA" Repeat="1" />
        <Segment SegmentId="QTY" />
      </Loop>
      <Loop LoopId="2100">
        <Name>Beginning of Report</Name>
        <StartingSegment SegmentId="BOR" />
        <Segment SegmentId="DTP" />
        <Segment SegmentId="MSG" />
        <Loop LoopId="2150">
          <Name>Individual or Organizational Name</Name>
          <StartingSegment SegmentId="NM1" />
          <Segment SegmentId="REF" />
          <Segment SegmentId="PER" Repeat="1" />
          <Segment SegmentId="N3" Repeat="1" />
          <Segment SegmentId="N4" Repeat="1" />
          <Segment SegmentId="DMA" Repeat="1" />
          <Segment SegmentId="REL" Repeat="1" />
        </Loop>
        <Loop LoopId="2200">
          <Name>Specimen Kit Information</Name>
          <StartingSegment SegmentId="SPK" />
          <Segment SegmentId="CD2" Repeat="9" />
          <Segment SegmentId="DTP" Repeat="9" />
          <Segment SegmentId="REF" Repeat="1" />
          <Segment SegmentId="MSG" />
          <Loop LoopId="2250">
            <Name>Individual or Organizational Name</Name>
            <StartingSegment SegmentId="NM1" />
            <Segment SegmentId="N4" Repeat="1" />
          </Loop>
        </Loop>
        <Loop LoopId="2300">
          <Name>Laboratory Test Results</Name>
          <StartingSegment SegmentId="LTR" />
          <Segment SegmentId="CD2" Repeat="9" />
          <Segment SegmentId="DTP" Repeat="9" />
          <Segment SegmentId="NM1" Repeat="9" />
          <Segment SegmentId="MSG" />
        </Loop>
        <Loop LoopId="2350">
          <Name>Underwriting Category</Name>
          <StartingSegment SegmentId="UC" />
          <HierarchicalLoop LoopId="2400">
            <Name>Hierarchical Level</Name>
            <Segment SegmentId="UQS" Repeat="1" />
            <Segment SegmentId="NM1" Repeat="1" />
            <Segment SegmentId="N1" Repeat="1" />
            <Segment SegmentId="N3" Repeat="1" />
            <Segment SegmentId="N4" Repeat="1" />
            <Segment SegmentId="DTP" />
            <Segment SegmentId="QTY" />
            <Segment SegmentId="MSG" />
            <Segment SegmentId="DMA" Repeat="1" />
            <Segment SegmentId="AM1" Repeat="1" />
            <Segment SegmentId="DMG" Repeat="1" />
            <Segment SegmentId="AMT" Repeat="1" />
            <Segment SegmentId="EC" Repeat="1" />
            <Segment SegmentId="PER" Repeat="1" />
            <Segment SegmentId="REF" Repeat="1" />
            <Segment SegmentId="IN1" Repeat="1" />
            <Segment SegmentId="EMS" Repeat="1" />
            <Segment SegmentId="ASL" />
            <Segment SegmentId="TOA" Repeat="1" />
            <Segment SegmentId="TOV" Repeat="1" />
            <Segment SegmentId="III" />
            <Segment SegmentId="SIN" Repeat="1" />
            <Segment SegmentId="UCS" Repeat="1" />
            <Segment SegmentId="FH" Repeat="1" />
            <Segment SegmentId="UD" Repeat="1" />
            <Segment SegmentId="CDS" Repeat="1" />
            <Segment SegmentId="CED" Repeat="1" />
            <Segment SegmentId="YNQ" Repeat="1" />
            <Segment SegmentId="MPI" Repeat="1" />
            <Loop LoopId="2450">
              <Name>Electronic Format Identification</Name>
              <StartingSegment SegmentId="EFI" />
              <Segment SegmentId="BIN" Usage="Required" Repeat="1" />
            </Loop>
          </HierarchicalLoop>
        </Loop>
        <Loop LoopId="LS">
          <Name>Loop Header</Name>
          <StartingSegment SegmentId="LS" />
          <Segment SegmentId="LE" Trailer="true" />
          <Loop LoopId="2500">
            <Name>Underwriting Status</Name>
            <StartingSegment SegmentId="UD" />
            <Segment SegmentId="NM1" Repeat="1" />
            <Segment SegmentId="N4" Repeat="1" />
            <Segment SegmentId="REL" Repeat="1" />
            <Segment SegmentId="DTP" Repeat="1" />
            <Loop LoopId="2550">
              <Name>Electronic Format Identification</Name>
              <StartingSegment SegmentId="EFI" />
              <Segment SegmentId="BIN" Usage="Required" Repeat="1" />
            </Loop>
          </Loop>
        </Loop>
      </Loop>
    </Loop>
  </Loop>
</TransactionSpecification>